X-ray
What are the benefits of transcutaneous pacing?
It is non-invasive and it is the fastest way to treat hemodynamically-unstable bradyarrhythmias or tachyarrhythmias.
What are known complications of transcutaneous pacing?
In hemodynamically stable patients, transcutaneous pacing can reduce cardiac output. Additionally, third degree burns to the skin have also been noted, especially if pacer pads are reapplied for multiple uses.
1. The single lead left-sided automated implantable cardioverter defibrillator (AICD) and its lead are in the appropriate positions. The tip of the left internal jugular central venous catheter is seen in the region of the junction of the right and left brachiocephalic veins and is obscured due to overlying leads and wires. The tip of the right left internal jugular central venous catheter terminates in the region of the proximal superior vena cava. Overlying tubes, leads, wires, and pacer pads obscure details limiting evaluation.
2. Overall moderate bilateral lung aeration in this patient with diffuse bilateral coarse interstitial reticular and patchy ground-glass airspace opacifications, left greater than the right. No discrete large effusion on the left or pneumothorax on either side. Severe cardiomegaly.